<div id="content-container" class="container">
	<div class="row">
		<div class="col-md-3">
			{include file="common/sidenav" /}
		</div>
		<div class="col-md-9">
			<div class="panel panel-default">
				<div class="panel-body">
					<h2 class="page-header">{:__('Profile')}</h2>
					<form id="signup-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="{:url('api/signup/save')}">
						<div class="form-group">
							<label class="control-label col-xs-12 col-sm-2">{:__('姓名')}:{if config('APP_DEBUG') != 1}{/if}</label>
							<div class="col-xs-12 col-sm-4">
								<input type="text" class="form-control" id="name" name="name" {if config('APP_DEBUG') != 1}data-rule="required;"{/if} placeholder="">
							</div>
						</div>
						<div class="form-group">
							<label class="control-label col-xs-12 col-sm-2">{:__('手机号')}:</label>
							<div class="col-xs-12 col-sm-4">
								<input type="text" class="form-control" id="mobile" name="mobile" {if config('APP_DEBUG') != 1}data-rule="required;mobile;"{/if} placeholder="">
							</div>
						</div>
						<div class="form-group">
							<label class="control-label col-xs-12 col-sm-2">{:__('分组')}:</label>
							<div class="col-xs-12 col-sm-4">
								<select type="text" class="form-control" id="group" name="group" {if config('APP_DEBUG') != 1}data-rule="required;"{/if}>
									<option value="">请选择</option>
									{volist name=":config('site.signup_groups')" id="vo" key="k"}
									<option value="{$k}">{$vo}</option>
									{/volist}
								</select>
							</div>
						</div>
						<div class="form-group">
							<label class="control-label col-xs-12 col-sm-2">{:__('支付方式')}:</label>
							<div class="col-xs-12 col-sm-4">
								<select type="text" class="form-control" id="pay_type" name="pay_type" data-rule="required;">
									<option value="wechat">微信</option>
									<option value="alipay">支付宝</option>
								</select>
							</div>
						</div>
						<div class="form-group normal-footer">
							<label class="control-label col-xs-12 col-sm-2"></label>
							<div class="col-xs-12 col-sm-8">
								<button type="submit" class="btn btn-primary btn-embossed disabled">{:__('报名')}</button>
							</div>
						</div>
					</form>
				</div>
			</div>
		</div>
	</div>
</div>
